Myocarditis i roto i te tamaiti: tātaritanga, Tohu me te rongoā. Center Heart o ngā tamariki

pāngia Myocarditis i roto i te tamaiti e ngā pinepine i roto i te mahi hauora hou. tonu kia mea te reira e tenei mate kino, me te ki te mahue kore maimoatia taea arahi ki pōauautanga nui. Ko te aha e hiahia i roto i ngā mōhiohio e pā ana ki te mate maha ngā mātua. He aha he whakawhanake ara i roto i nga kohungahunga i te mate taua, a he aha tohumate kia titiro ahau mo? Nahea te therapy me aha e nga matapae mō te tūroro iti?

Āhuatanga me ngā āhuatanga o te mate

Ko te wā "myocarditis" te auraa te he mate tahi e te i mumura o te uaua ngakau. pāngia ana tēnei mate i roto i te tūroro o rerekē tau. whakauaua taea te whakaaro ki Myocarditis i roto i te tamaiti taiohi ranei rite te take onge.

Ko te take o nga pāpaka inflammatory o te myocardium e taea e tino rerekē, kopikopiko i te kătahi ki te mate kiko, me te whakamutu ki kino tauhohe mate pāwera, me te intoxications. Tino maha, karapoti te mumura kore anake te uaua ngakau, engari ano hoki hanganga tata, tae atu i te pericardium, oko toto, me te tahi atu whēkau.

Ko te take matua o te myocarditis

Kei te whakaaro te reira e taea te hono mumura o te uaua ngakau ki tata tetahi ahua o te mate mohiotia:

• I roto i te nuinga o te wā, te "pūhia" o myocarditis he huaketo - adenovirus, enterovirus Coxsackie, me parvovirus, cytomegalovirus, huaketo kakā, me te rewharewha.
• Mumura o te myocardium, a ētahi wā he take kitakita. whakawhanake ana te mate i runga i te whakamārama o te mate kohi, brucellosis, he kiriuhi kitakita. puta te tukanga inflammatory ka faaitoitoraa o mate streptococcal.
• maha arata'i Hinganga kaiao rickettsial ki mumura o te uaua ngakau. ngā āhuatanga Risk Q kirika, te fiva rahi, maunga kamaka.
• I roto i te tūranga o te tukumate kia mahi harore pathogenic, me puninga tino harore Candida.
• He myocarditis protozoal, te whakawhanake i runga i te whakamārama o te toxoplasmosis, malaria, leishmaniasis.
• Helminths (Echinococcus, Trichinella) whakapataritari hoki mumura.
• He myocarditis paitini meinga e ingestion o te ateneke, mēkuri, te waro haukura.
• I te tahi taime te whanake te mate i roto i te rongoā, ranei i muri i whakataki o te werohanga sera.

• āhuatanga Risk ngā ngau te nakahi, me te pepeke.
• pānga tinana, pērā i hauhauaitu nui, tūāhuruiti, te rongo ki ionizing radiation i runga i te tinana whakaoho hoki mumura.
• ngā te tahi atu āhuatanga mōrearea erythematosus lupus pūnahanaha, kaikōiwi me etahi atu mate autoimmune.

Ka rite ki a koutou e taea te kite, i reira e maha take mō te whakawhanake myocarditis. kia ngā tātaritanga te rārangi o te mate tuatahi rite pānga reira te angitu o te therapy.

Ko te puka me ngā momo o te mate

He maha ngā kaupapa o te whakarōpū o te mate. Kua kē te reira i kōrero kōwhiringa mō te whakawhanake i te mate, i runga i te take rānei. Otiia i te wa o tohunga tātaritanga utu whakarongo ki ētahi atu āhuatanga:

• Ki te korero tatou e pā ana ki te akoranga o te mate, ka taea e te myocarditis e whakapeka, subacute ma'i ranei.
• Tei runga i te pakeke o te mate e taea e ngawari, āhua nui ranei.
• Te tākuta e kumea whakarongo ki te faaiteraa haumanu - o taea te kite i ngā tamariki te ahua angamaheni o mumura, me te mau i roto i, me te asymptomatic.
• A kua reira he uara o te whānuitanga o te tukanga inflammatory - i roto i tenei take wāhi taratahi (reira te taratahi, te pae kotahi o te mumura) me myocarditis E ruia ana (pā māuiuitanga ki te uaua katoa).

Pehea he myocarditis i roto i ngā tamariki? atamira matua

whakawhanake tamaiti Myocarditis i roto i te maha o ngā wāhanga - i roto i te rongoā hou e toru:

1. Wāhanga o te viremia - matūriki viral (ranei ētahi atu tukumate) taka ki roto ki te myocardium. Tuatahi, kei te whakaritea e ratou i runga i te mata o ngā pūtau uaua, a ka ô i te myocytes. I tenei wā, i reira he faaitoitoraa o te pūnaha ārai mate, haere tahi nei i te nui haere ariā me te tuku o te interferon.
2. atamira Autoimmune i nei nui whakarei whakautu pūtau ārai me te nui haere ngā taumata antikardialnyh paturopi e kohikohi i roto i myocardium, pēhia e pā tona mahi. I tenei wā te whakahohe kaitakawaenga inflammatory. He tūkino microvasculature.
3. Ki te he e manakohia te mate, na reira ko te whakaiti o te edema me te hanganga o ngā wāhi fibrotic i roto i te uaua ngakau. Ki te kore te maimoatanga i homai hua pai (ranei ara ngaro), riro ma'i te mate. I roto i te mumura ma'i āta whakawhanake pōauautanga, tae atu kore ngakau, cardiomegaly, manawa.

Ko te tukanga o te tātaritanga me te whakamātautau o te tamaiti ki te āwhina i te tākuta kitea i roto i te puka o te mate, ona take, me te te wā o te whanaketanga - i muri anake i te fariiraa i te raraunga e taea te waihanga i tētahi talena maimoatanga pono whai hua.

Tohu o te mate i roto i te hou

Signs o te mate, tei runga i ngā āhuatanga maha - he utu tango ki pūkete o te tamaiti tau, takenga me te ahua o te mate. Rawa myocarditis kino i roto i nga tamariki whanau hou. Kid āta whiwhi taimaha, hei lethargic me tautauā, rite ara te tukanga o te kai he reira rohirohi. Ko te ha ma kiri o te tamaiti, maha riro te kauruku hina.

whakaaro tētahi atu tohu te ki kia poto o te manawa. Ia te tuatahi puta i roto i wā o te mahi - hohoro te koati, me te hopoi nui ia tauiraa, kaukau, nekehanga whēkau, kai. Ka rite ki te mate kauneke taea te kite te kupukupu uauatanga kē i roto i te āhua āta. No te mea o te whakawhanake puta kore ngakau edema - i ētahi wā he nui ratou, e tika ana ki nei kei te piki haere te taimaha pēpi tino. heheu whakamātautau o tamaiti i te ate rahi me te kōateate.

pikitia haumanu o te tamaiti pakeke ake i te rua nga tau

I roto i ngā tamariki pakeke, titiro rerekē te pikitia haumanu. I roto i 2-3 wiki i muri i kore te te myocarditis mate tuatahi whakaaturia. Na ka riro nga tohu atu korerotia. Signs o te mate ngā:

• koma o kiri integument;
• rohirohi, ngoikore, hua iti i roto i te pāmahana;
• ngaro o te hiahia, me te reira whakaiti taimaha;
• mamae i roto i te uaua, me te hononga, me ētahi wā i roto i te puku;
• rite te mate kauneke, timata tamariki ki amuamu a mamae i roto i te ngakau;
• hāhā o te manawa, me te ngakau palpitations.

Myocarditis: Diagnosis o mate

Ki te mate taua o faufaa nui ko te tātaritanga tika. Ko pai te tamaiti ki te whakapā atu pokapū mafatu o te tamariki. E hiahiatia ana te ngā tukanga e whai ake nei mō te tātaritanga:

• Ki te timata ki te tamaiti, a puritia mātua he pooti ki te hanga hītori, ki te whakatau i te aroaro o etahi tohu.
• Kua i roto i te uiui, kia whakapae i te tākuta myocarditis - he tohunga e matakitaki ana koma, ara kiri cyanosis, auau ngakau tere, aroaro o te edema me hāhā o te manawa.
• Whakamana whakamātautau toto matüora me serological e whakatau te aroaro o te mate, me te mumura.
• Aaka X-ray taea te mātanga ki te kite i te roha o te rohe o te ngakau, me te aroaro o te stagnation toto i roto i te oko o te pūkahukahu, e haapapu te aroaro o te mumura i roto i te myocardium.

• Tika whakamana electrocardiography me echocardiography - whakarato enei ngā tukanga i te whai wāhi ki te titiro i te ngakau, me te aromatawai i te tohu o te waimaerotanga.
• whakaaturia te unuhanga o te myocardium e anake i roto i te wā tino kino no te mea e tauturu te reira whakatau i te whānuitanga o te tukanga inflammatory.

Treatment o te mate: e tākuta whakahere?

O te akoranga, tei te maimoatanga i runga i te take me te whānuitanga o te whanaketanga mate. Hei tauira, i roto i te aroaro o te mate kitakita e hiahia paturopi, i whakaaturia pāpaka viral te fariiraa i taero patu huaketo. Ano, whakaritea tamariki immunomodulators, tuku haerenga i te mahi o nga tikanga ārai.

Hei whakakore tūroro mumura tango nonsteroidal taero anti-inflammatory ( "Voltaren", "Brufen", "Indomethacin"). I roto i ngā take kino, te whakamahi o rongoā taiaki pūtaiaki e te hunga ake whai hua i roto i mumura whawhai. Hei whakakore i E whakamahia Diuretics edema, tuku ki te pehea e wai te taikaha. He mea nui hoki ki ngā i roto i te kaupapa o teuteu therapy huaora. Ki te mea te reira te tukanga ma'i, whakaaturia maimoatanga kaukau. Ki te reira te mea he arrhythmia tamau, e kore he Nireaha ki te maimoatanga tarukino e, kia hiahia koe i te implantation pacemaker.

kawea maimoatanga i roto i roto i te taiao hōhipera, he mea tika ki te whiriwhiri pokapū mafatu o te tamariki pai ki ngaio pai. Runga ki te whakaotinga o te akoranga o te therapy me mamae te tamaiti tonu auau Taki-ups - i te tuatahi nga marama torutoru, me te ka rua he tau (ki te akoranga pai o te mate). Echo me electrocardiography, pouaka X-ray, kia mahi whakamātautau toto wā - te anake taea ara ki te kite i te aroaro o fifi hohokitanga ranei.

kai o te tamaiti ki te myocarditis

E paanga tokomaha ngā mātua i roto i ngā pātai i tenei ra e pā ana ki te aha, me te aha whakawhanake ko te myocarditis i roto i ngā tamariki. Tohu me te maimoatanga o te mate, ona take - he reira tino ngā nui. Ko te mea utu whakaaro e i roto i te maimoatanga o te tamaiti e hiahia ana i te kai motuhake (ki te kore te mea e pā ana ki ngā pēpi).

tūtohu tohunga ki te whakarere i te warowaihā ohie - e kore e hoatu e koe tō pēpi i te mawhene, tiakarete, te taro ma, rimurapa. Ka taea te whakakapi ratou kahore pōhā rewena. Ano, e kore e kino te kai tote, me te raukikini, kai fatty me te ika, hupa me broths momonatanga - pai ki te kai heihei kikokore, me te ate (i te ara, he reira e minaminatia ki te whakareri i ngā kai mō te tokorua). Kei te whakaaetia Fish, engari anake ki te mea he momo ngako-iti. kia hoki kia iti te maha o hua.

kia ngā te kai hua miraka, hua hou me huawhenua (anake paramu, Quince, te terise pakeke me te aporo, karepe). Ka taea te whakakapi tiakarete me ētahi atu sweets ki te honi, tāmi, Marmalade me te marshmallow.

Matapae i roto i te myocarditis

Myocarditis i roto i te tamaiti rawa mōrearea i roto i te tuatahi o nga marama o te ora - i roto i tenei rōpū tau o tūroro, te mate tino kitea pinepine. Tei waitohunga i runga i te puka, me te tohu o te mate pakeke. Hei tauira, e kore e he puka ngawari o te mate, me te tahi mau taime e rapu maimoatanga. mumura kitakita Nireaha ki te maimoatanga māmā, engari ka kore e pāpaka viral o te putanga o te mate e pai rawa.

I roto i kua oti te tuhituhi uaua tamariki me ngā taiohi kura-pakeke ngā kino - te tikanga hohoro ora me te hoki ki te ora noa tamariki. Heoi, i ētahi wā i roto i te ngakau myocarditis āhua wāhi sclerotic e taea te mahi kia rite ki te take o te kore ngakau i roto i te pakeke.

rongoā ārai

Kia aroha mai, i reira he kore rawa te ao o te myocarditis. Heoi, tūtohu tohunga ki te whai i te tahi mau ture. kia tahuri ki to ratou hauora te wahine hapu, te ārai i te whanaketanga o ngā mate hopuhopu, ki te karo whakapā ki tāoke whakamatauria wā.

Hoki kia aroturuki te kāwanatanga hou tata - kia pāngia mate hopuhopu, me te inflammatory me tukinotia i roto i te wā. I roto i te urutā o te matao rite taea e kore te mea e tika ana ki te tukua whakapā o te tamaiti ki te iwi huaketo. Pai i runga i te āhua o te pūnaha ārai mate pā he kai tika, he mahinga o ia rā mārama, mahi tinana āhua me te pakeke.